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Organization
NEW LIFE SPEECH THERAPY
Active
Organization
NEW LIFE SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE BURNETT MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(321) 917-0297
Entity
Organization
Contact information
Practice address
585 WILEY CT, MERRITT ISLAND, FL 32952-5853
(321) 917-0297
Mailing address
585 WILEY CT, MERRITT ISLAND, FL 32952-5853
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024281500
—
FL
Enumeration date
02/27/2019
Last updated
02/27/2019
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